Organization
HEALTHYU PHOENIX 31ST AVENUE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE SPEIRS MD, MBA (PRESIDENT)
(480) 495-5485
Entity
Organization
Contact information
Practice address
16841 N 31ST AVE BLDG 3, PHOENIX, AZ 85053-3012
(602) 491-0703
Mailing address
840 E MCKELLIPS RD STE 105, MESA, AZ 85203-9654
(480) 495-5485
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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